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Published on: February 23, 2024
Factors Associated With Burnout Among Nurses Providing Direct Patient Care During the COVID-19 Pandemic
Bevin Cohen1, Jonathan DePierro, Chi C Chan
1Author Affiliations: Associate Professor, Department of Geriatric and Palliative Medicine, and Director, Center for Nursing Research and Innovation (Dr Cohen); Assistant Professor, Department of Psychiatry, and Director, Center for Stress, Resilience and Personal Growth (Dr DePierro); Assistant Professor, Department of Psychiatry (Dr Chan); Nurse Practitioner, Vascular Surgery, The Mount Sinai Hospital (Ms Tolan); Biostatistician, Center for Biostatistics (Ms Deshpande); Associate Professor, Department of Psychiatry, and Director, Trauma and Resilience Program (Dr Feder); Psychiatry Resident, Department of Psychiatry (Dr Feingold); Associate Professor, Department of Medicine, and Senior Associate Dean of Faculty Well-being and Development (Dr Peccoralo); and Chief Wellness Officer (Dr Ripp), Icahn School of Medicine at Mount Sinai, Mount Sinai Health System, New York; and Professor of Psychiatry, Yale School of Medicine, Professor of Public Health, Department of Social and Behavioral Sciences, Yale School of Public Health, and Director, Translational Psychiatric Epidemiology Laboratory Clinical Neurosciences Division, National Center for PTSD, VA Connecticut Healthcare System, New Haven (Dr Pietrzak).
Objective:
This study aimed to identify factors associated with burnout in nurses and nurses' opinions regarding interventions to promote well-being during crisis conditions such as those experienced during the COVID-19 pandemic.
Background:
Burnout among nurses is prevalent under usual conditions and may increase during crises such as COVID-19.
Methods:
Researchers conducted a survey of 1103 frontline nurses in a single New York City hospital during the first (spring 2020) and second (fall 2020/winter 2021) local waves of COVID-19.
Results:
Burnout prevalence increased from 45% to 52% between the first and second wave. Younger age, female gender, posttraumatic stress, anxiety or depressive symptoms, history of burnout, feeling less valued by hospital leadership, less informed of responsibilities, less certain about duration of enhanced workload, and prepared by prepandemic experience were predictive of burnout in multivariable analyses.
Conclusions:
Although some identified risk factors for burnout were nonmodifiable, others may be modifiable by hospital leadership.
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